NPI | 1497330559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2015019457) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2021037463) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-10-13 |